2026 ICD-10-CM Diagnosis Code T71.111AAsphyxiation due to smothering under pillow, accidental, initial encounter

ICD-10-CM Codes›S00–T88›T66-T78›T71

ICD-10-CM T71.111A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T71.111A is a billable ICD-10-CM diagnosis code for asphyxiation due to smothering under pillow, accidental, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, initial encounter; External cause codes: intent of injury, accidental/unintentional; and External cause codes: suffocation/inhalation; initial encounter.

Code Identity

ICD-10-CM Code
T71.111A
Billable Status
Yes — Valid for Submission
Code Describes
Asphyxiation due to smothering under pillow, accidental, initial encounter
Short Description
Asphyx due to smothering under pillow, accidental, init
Parent Code
T71.111
Asphyxiation due to smothering under pillow, accidental

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT71Asphyxiation
This CodeT71.111AAsphyxiation due to smothering under pillow, accidental, initial encounter

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Asphyxiation (T71). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ021
Effect of other external causes, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR EXT020
External cause codes: intent of injury, accidental/unintentional
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT017
External cause codes: suffocation/inhalation; initial encounter
Default principal diagnosis: inpatient No · outpatient No

Convert T71.111A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
994.7 Asphyxiation/strangulat
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E913.0 Suffocat in bed/cradle
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T71.111AOverview

Is T71.111A (Asphyxiation due to smothering under pillow, accidental) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report asphyxiation due to smothering under pillow, accidental, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T71.111A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for asphyxiation due to smothering under pillow, accidental, such as an emergency visit or first evaluation.

What MS-DRG does T71.111A group to?

When asphyxiation due to smothering under pillow, accidental, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T71.111A?

Under the General Equivalence Mappings, asphyxiation due to smothering under pillow, accidental, initial encounter converts to ICD-9-CM 994.7 (asphyxiation/strangulat) and E913.0 (suffocat in bed/cradle). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.